Provider Demographics
NPI:1891564753
Name:WEHLING, SUSAN KATHLEEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KATHLEEN
Last Name:WEHLING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6781 SHAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9504
Mailing Address - Country:US
Mailing Address - Phone:716-523-0296
Mailing Address - Fax:
Practice Address - Street 1:1801 GRAND ISLAND BLVD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-2249
Practice Address - Country:US
Practice Address - Phone:716-773-4323
Practice Address - Fax:716-773-9418
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012250-012251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics